Baltic Dental Services offers a full
range of diagnostic and corrective procedures.
Tooth Extraction including wisdom tooth
extraction. Teeth are typically removed because
they are impacted (blocked from growing normally)
or for positional reasons. Tooth extraction
is performed with local anesthesia if the tooth
is exposed and appears to be easily removable.
Fillings Probably to most common of
all dental procedures and usually associated
with the diagnosis and treatment of cavities
(caries). The materials used can vary but conventional
dentistry advises cosmetic resins for durability
and aesthetic reasons. However, we can also
apply amalgam, metal, or porcelain, as required.
Inlay Sometimes a more durable and stronger
alternative to amalgam or composite filling
is required. In such a case we prepare a custom-made
gold or porcelain alloy cast and cement this
inlay to a previously prepared tooth cavity.
Onlay For more extensive coverage with
extends beyond the tooth cusps, an only may
be called for. This procedure involves applying
a gold or porcelain inlay which has the effect
of leaving more natural tooth than if using
a crown.
Veneers are thin exteriors that are
applied to the tooth and carefully bonded to
the surface. Porcelain is the typical material
used owing to its durability and cosmetic advantage.
Veneers are a popular alternative to crowns
since less tooth material is removed with little
loss in aesthetics. While it is necessary to
take a mold of the teeth, turnaround time is
relatively fast with final application and bonding
usually occurring the 3rd of 4th day.
Crowns A crown is a permanent covering
that fits over an original tooth that is either
decayed, damaged or cracked. Crowns are made
of a variety of different materials such as
porcelain, gold, acrylic resin, or a mix of
these materials. Porcelain generally has the
most natural appearance, although somewhat less
durable. The treatment plan for a patient receiving
a crown involves, numbing the tooth to remove
the decay in or around it, then sculpting the
tooth to provide an ideal fit for the crown.
The next step is to make an impression of the
teeth to create a custom-made crown. In the
interim a temporary crown is made out of acrylic
resin and fitted onto the tooth. Finally the
permanent crown is applied by removing the temporary
crown and fitting the permanent one onto the
tooth and cements it into place.
Bridges A bridge is a dental device
that fills a space that a tooth previously occupied.
A bridge may be necessary to prevent shifting
of the teeth that can lead to bite problems
(occlusion) and/or jaw problems and resultant
periodontal disease. Bridges also safeguard
the integrity of existing teeth and help maintain
a healthy, vibrant smile. The three main types
of bridges are the fixed bridge. This is the
most popular and consists of a filler tooth
that is attached to two crowns, which fit over
the existing teeth and hold the bridge in place.
The “Maryland” bridge which is commonly used
to replace missing front teeth and consists
of a filler that is attached to metal bands
that are bonded to the abutment teeth. The metal
bands consist of a white-colored composite resin
that matches existing tooth color. And, finally
the cantilever bridge is often used when there
are teeth on only one side of the span. A typical
three-unit cantilever bridge consists of two
crowned teeth positioned next to each other
on the same side of the missing tooth space.
The filler tooth is then connected to the two
crowned teeth, which extend into the missing
tooth space or end.
Implants Dental Implants are artificial
tooth replacements that were first developed
half a century ago by a Swedish scientist named
Per-Ingvar Branemark. Implants arose from the
patient’s need to secure loose-fitting dentures.
Since the advent of the implant, engineering
and enhancements to the implant has enabled
dentists to expand the implant’s usefulness,
including the replacement of missing or lost
teeth. Today, implant techniques consist of
three main typess: root implant, plate form,
and subperiosteal implant The root implant,
the most popular, is often as strong as the
patient’s original tooth. The implant or artificial
root is placed into the jawbone under local
anesthesia, then allowed to heal and integrate
with the bone. Once the healing process is completed
and the jawbone is attached to the implant,
the patient returns to the dental office where
the implant is fitted with the new tooth. The
material used is generally pure, unalloyed titanium,
which is completely accepted by the human body.
During preliminary examinations the doctor checks
the patient to decide if placement of dental
implants can be carried out. This includes a
dental examination (which teeth must be substituted,
if the jaw is suitable for receiving the implants,
taking of X-ray shots, etc.), and general medical
examinations (laboratory tests). The insertion
of implants is carried out under local anaesthesia.
Dentures Complete Dentures are a removable
prosthesis that restores function and appearance
in the mouth as well as surrounding facial tissues
when all teeth are missing. Overdentures and
Implant Overdentures are similar to a complete
denture, in that a removable prosthesis is fabricated
when several teeth can be saved; an overdenture
is made to fit over the roots of these teeth.
Overdentures preserve bone and greatly
increase denture stability. In individuals who
receive dental implants, an overdenture provides
far more stability than traditional dentures.
A Removable Partial Denture is a prosthesis
that contains artificial teeth supported on
a metal framework and is retained and supported
by natural teeth with clasps and rests. It is
suitable when only a few teeth are missing.
Tooth Whitening There are two main
forms of tooth whitening. The first is professional
bleaching which is the most common form of tooth
whitening. Not everyone is suitable for such
treatment so after our diagnostic exam we will
be able to tell you if it's right for you. The
procedure is rather simple. First a rubber shield
or a gel is applied to your gums to protect
the soft tissue. They we will apply the whitening
material to your teeth, via a custom mouthpiece
which fits securely inn place. The active ingredient
in the process is usually hydrogen peroxide
or carbamide peroxide. As this active ingredient
is broken down, oxygen is imparted within tooth
enamel with a resulting whitening effect.
A more recent development in whitening technology
is the so-called 'power whitening or laser enhanced
whitening. During this procedure a rubber dam
is placed over your teeth to protect soft tissue.
Then a bleaching product is applied onto your
teeth. The whitening effect begins when a light
or laser is directed at the teeth to activate
the chemical. The light energy has the effect
of accelerating the chemical reaction resulting
in more rapid color change. Changes in color
of up to six shades are not uncommon.